Avamere at Three Fountains

Nursing Home in Medford

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Avamere at Three Fountains

Nursing Home in Medford

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Overview of Avamere at Three Fountains

Avamere at Three Fountains is a skilled nursing and rehabilitation community located in Medford, Oregon. It offers services such as skilled nursing, rehabilitation, and short and long-term care. The community features 24-hour staff, transportation assistance, and a vibrant activities calendar.
(541) 773-7717

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
5/5 ▲ 2.0 Oregon average: 3.1/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
4/5 ▲ 1.2 Oregon average: 2.9/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
4/5 ▲ 0.3 Oregon average: 3.7/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
5/5 ▲ 1.6 Oregon average: 3.5/5

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Oregon state averages

Total nursing care / resident Info This home is ranked 68th out of 84 homes in Oregon.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 28m per day
This facility Oregon avg (5h 12m per day)
vs Oregon avg
-14%

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 117
Avg. Length of Stay
49 days

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

Breakdown by payment type

Medicare

31% of new residents, usually for short-term rehab.

Typical stay 28 days

Private pay

65% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

4% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$19.6M
Operating loss
-$1.7M
Privately-owned community Operated by a business corporation.
Home revenue
$19.6M
Operating loss
-$1.7M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.3M
37.4% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$14.0M
Total costs $21.3M
Bed community size
117-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
19 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
63%
In line with Oregon average
Occupied beds
74 / 117
Average residents 55 per day

License Details

Facility TypeSnf/nf Dual Cert
StatusActive
IssuanceOctober 7, 2006
CountyJackson
CMS Certification Number385126

Ownership & Operating Entity

Avamere at Three Fountains is administrated by Holly Sutton.

Owner NameWaterford Operations, LLC

Safety & Compliance

Emergency SystemsNurse call system available.
Safety FeaturesGrab bars and emergency call buttons available.

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactRichard Miller

Payment & Insurance

1 service
Accept Medicare

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

3 services
Doctor on Staff
Skilled Nursing
24-Hour Staffing

Contact Information

Fax(541) 857-5139

Amenities & Lifestyle

9 amenities
24-Hour Staff
Transportation
Fitness Center
Extensive Activities Calendar
Beauty Salon
Restaurant-Style Dining
Private Transportation Services
Chaplain Services
Newspaper And Mail Delivery
ActivitiesVibrant activities calendar available.
Specific ProgramsRehabilitation, Short & Long-Term Care
Volunteer ProgramsYes

Dining & Nutrition

Food DescriptionRestaurant-style dining or in-room meal service available.

Contact Avamere at Three Fountains

Access & Eligibility

Ways to qualify for care at this community, including accepted programs and payment options.

Medicare Accepted

This facility is certified for eligible Medicare services.

Payment & Funding Options

Medicare

Inspection History

In Oregon, the Department of Human Services, Aging and People with Disabilities performs unannounced surveys and regular inspections to ensure resident safety in all care settings.

9 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Latest inspection

Date October 28, 2025

26 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

Oregon average: 27 citations

50 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Oregon average: 31 deficiencies

Inspection Report Summary for Avamere at Three Fountains

The most recent inspection on October 28, 2025, found no deficiencies but noted two citations with initial comments that were not corrected on visit. Earlier inspections showed multiple deficiencies related mainly to medication management, infection control, and resident care planning, with some issues recurring over time and not fully corrected on revisits. Complaint investigations were not substantiated, and no fines, immediate jeopardy findings, or license actions were listed in the available reports. Prior reports also cited concerns with staffing training and facility-wide assessments. The trend suggests some improvement in recent inspections, though certain initial comments remain unaddressed.

Health Inspection History

Inspections
Total health inspections 4

Oregon average 5.1


Last Health inspection on Jan 2025

Total health citations 20

Oregon average 34

Citations per inspection
5

Oregon average 6.86


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

16 of 20 citations resulted from standard inspections; 3 of 20 resulted from complaint investigations; and 1 of 20 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Oregon average

Oregon average: 0.5


Serious Health citations More info 2
67% worse than Oregon average

Oregon average: 1.2

0 critical citations More info Oregon average: 0.5

2 serious citations More info Oregon average: 1.2

18 moderate citations More info Oregon average: 32.1

0 minor citations More info Oregon average: 0.2
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jan 16, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jan 16, 2025
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Jan 16, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jan 16, 2025
Corrected

Compare Nursing Homes around Medford The information below is reported by the Oregon Department of Human Services, Aging and People with Disabilities.

4 facilities compared · CMS & OR Dept. of Health data · Updated Apr 2026

Filter by care type
Avamere at Three Fountains
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Medford205 62.9% -4%4.47 -31%-15%0205.0275A+-Sutton, Holly$18.8M$7.3M39%385126
Avamere Health Services of Rogue Valley
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Medford (Stevens Street)91 57.7% -12%4.36 -8%-17%15112.8065- 84 Ariso Llc$12.0M$4.5M37.2%385024
Farmington Square Medford -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Medford81--------000.00--------
Kinsington Oak Grove -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Medford60--------000.00--------

Financial Assistance for
Nursing Home in Oregon

Get Financial aid guidance

Oregon Project Independence (OPI)

OPI

Age 60+
General Oregon resident, at risk of nursing home but not Medicaid-eligible.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
OR

Cost-sharing required; rural/urban balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Adult day care (~$70/day) Transportation (~5 trips/month)

Oregon Medicaid Community-Based Care

OR Medicaid CBC

Age 65+ or disabled
General Oregon resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
OR

High demand in urban areas (e.g., Portland).

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($70/day) Home modifications ($1,500 avg.)

Program of All-Inclusive Care for the Elderly (PACE)

Oregon PACE (e.g., Providence ElderPlace)

Age 55+
General OR resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
OR

Available in 11 counties (e.g., Multnomah, Washington); Providence ElderPlace dominant provider.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Oregon Medicare Savings Program

Age 65+ or disabled
General OR resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
OR

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Home Energy Assistance Program (LIHEAP)

Oregon LIHEAP

Age 60+ prioritized
General OR resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
OR

Covers gas, electric, oil; emergency aid via Oregon Energy Fund (OEF).

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max via OEF)

Family Caregiver Support Program (FCSP)

Oregon Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; OR resident; functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
OR

15 regions; rural priority; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

Senior Community Service Employment Program (SCSEP)

Oregon SCSEP

Age 55+
General unemployed, low-income, OR resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
OR

Priority for veterans, rural residents; Easterseals/AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Oregon VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General OR resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
OR

High veteran demand; Oregon Veterans’ Homes option.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Senior Property Tax Deferral Program

Oregon Property Tax Deferral for Disabled and Senior Citizens

Age 62+
General OR resident, homeowner 5+ years, low-income.
Income Limits (2025) ~$58,000/year household, adjusted annually
Asset Limits Home value < county median; equity > 15%.
OR

Deferred taxes accrue 6% interest; repaid upon sale/death.

Benefits
Tax deferral (~$1,000-$3,000/year avg., varies by county)

Elderly Nutrition Program (ENP)

Oregon Elderly Nutrition Program

Age 60+
General OR resident (or spouse of any age); no income limit.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
OR

Includes Meals on Wheels; prioritizes homebound/low-income.

Benefits
Home-delivered or congregate meals (~$5-$7/meal value, 5 meals/week avg.)

Places of interest near Avamere at Three Fountains

Address 4.8 miles from city center Info Estimated distance in miles from Medford's city center to Avamere at Three Fountains's address, calculated via Google Maps.

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 148
Employees 138
Contractors 10
Staff to resident ratio 1.95:1
33% worse than Oregon average

Oregon average ratio: 2.92:1

Avg staff/day 58
Average shift 7.3 hours
6% worse than Oregon average

Oregon average: 7.8 hours

Total staff hours (quarter) 38,784
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 65
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

2.6%

1,012 contractor hours this quarter

Physical Therapy Assistant: 3 Speech Language Pathologist: 2 Physical Therapy Aide: 2 Medical Director: 1 Diagnostic X-ray Services Staff: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant6506518,65091100%7
Licensed Practical Nurse150155,26591100%9.8
Medication Aide/Technician110113,66591100%8
Registered Nurse9092,13291100%8.7
Speech Language Pathologist6281,2778695%7.4
Other Dietary Services Staff4041,1219099%6.3
Physical Therapy Aide4269877582%7.1
Clinical Nurse Specialist2029816774%7.9
Respiratory Therapy Technician5057797582%5.9
Physical Therapy Assistant2356497380%6.7
Dietitian1015046369%8
Administrator1014806066%8
Dental Services Staff1014806066%8
Mental Health Service Worker1014405560%8
Nurse Practitioner1013604549%8
Occupational Therapy Aide5052843134%7.3
Nurse Aide in Training2022102022%7.5
RN Director of Nursing1011682123%8
Therapeutic Recreation Specialist1011618695%1.9
Qualified Social Worker101875156%1.7
Diagnostic X-ray Services Staff011392123%1.9
Occupational Therapy Assistant0113833%12.7
Medical Director011291213%2.4
65 Certified Nursing Assistant
% of Days 100%
15 Licensed Practical Nurse
% of Days 100%
11 Medication Aide/Technician
% of Days 100%
9 Registered Nurse
% of Days 100%
8 Speech Language Pathologist
% of Days 95%
4 Other Dietary Services Staff
% of Days 99%
6 Physical Therapy Aide
% of Days 82%
2 Clinical Nurse Specialist
% of Days 74%
5 Respiratory Therapy Technician
% of Days 82%
5 Physical Therapy Assistant
% of Days 80%
1 Dietitian
% of Days 69%
1 Administrator
% of Days 66%
1 Dental Services Staff
% of Days 66%
1 Mental Health Service Worker
% of Days 60%
1 Nurse Practitioner
% of Days 49%
5 Occupational Therapy Aide
% of Days 34%
2 Nurse Aide in Training
% of Days 22%
1 RN Director of Nursing
% of Days 23%
1 Therapeutic Recreation Specialist
% of Days 95%
1 Qualified Social Worker
% of Days 56%
1 Diagnostic X-ray Services Staff
% of Days 23%
1 Occupational Therapy Assistant
% of Days 3%
1 Medical Director
% of Days 13%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 76
Medicare
33
43.4% of residents
Medicaid
35
46.1% of residents
Private pay or other
8
10.5% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 10.2
In line with Oregon average

Oregon average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 17.1
19% better than Oregon average

Oregon average: 21.1

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 8.8%
46% better than Oregon average

Oregon average: 16.3%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 27.4%
10% worse than Oregon average

Oregon average: 24.9%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 15.2%
33% better than Oregon average

Oregon average: 22.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.6%
75% better than Oregon average

Oregon average: 2.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.7%
25% worse than Oregon average

Oregon average: 6.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.2%
43% better than Oregon average

Oregon average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.5%
5% worse than Oregon average

Oregon average: 5.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.6%
87% better than Oregon average

Oregon average: 4.6%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 6.6%
50% better than Oregon average

Oregon average: 13.2%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Oregon average

Oregon average: 95.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Oregon average

Oregon average: 95.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
15% better than Oregon average

Oregon average: 86.2%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.4%
79% better than Oregon average

Oregon average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
23% better than Oregon average

Oregon average: 81.2%

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